Organization
DRIFTLESS CHIROPRACTIC AND SPINAL REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAUNA RAE MUNDINGER D.C. (CHIROPRACTOR/OWNER/PRESIDENT)
(858) 997-9320
Entity
Organization
Contact information
Practice address
1022 19TH ST S, LA CROSSE, WI 54601-5811
(608) 519-5690
Mailing address
1022 19TH ST S, LA CROSSE, WI 54601-5811
(858) 997-9320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5028-12
WI
Other
Enumeration date
02/07/2015
Last updated
06/02/2015
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